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        <PersonNm>Hank Lawrence</PersonNm>
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        <PersonNm>Woody Thrasher</PersonNm>
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        <PersonNm>Brian Jarvis</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis Xander</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Katherine Wagner</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jim Harris</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Sheppard</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tonya Sutton</PersonNm>
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        <PersonNm>Sam Gallo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Hackney</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dianne Phillips</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matt Jenkins</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stacey Armstrong</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalOtherCompensationAmt>989151</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>393</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Medical Solutions LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1010 N 102Nd St Ste 300</AddressLine1Txt>
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            <StateAbbreviationCd>NE</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract Labor - Patient Care</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Allison Park</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>201512228</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Fusion Healthcare Staffing LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11339 S 700 E Ste 200</AddressLine1Txt>
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            <ZIPCd>840705363</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Locumtenenscom LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2575 Northwinds Pkwy</AddressLine1Txt>
            <CityNm>Alpharetta</CityNm>
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            <ZIPCd>300092232</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract Professional Medical Staff</ServicesDesc>
        <CompensationAmt>530790</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Revenue</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>666780713</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>666780713</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Income</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>60457920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60457920</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Physician Office Rental Income - Related Parties</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1304303</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Reimbursements - Related Orgs</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>197885</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>197885</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Tuition Revenue</Desc>
        <BusinessCd>611111</BusinessCd>
        <TotalRevenueColumnAmt>90000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90000</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>73461</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>73461</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>26756622</ExclusionAmt>
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        <RealAmt>2372752</RealAmt>
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        <RealAmt>1218093</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1154659</TotalRevenueColumnAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-26336</ExclusionAmt>
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        <ExclusionAmt>2697339</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Rebate Revenue</Desc>
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        <ExclusionAmt>300082</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ManagementAndGeneralAmt>271099</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>60078</ProgramServicesAmt>
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        <ProgramServicesAmt>3071040</ProgramServicesAmt>
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        <ProgramServicesAmt>542250609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97563024</ManagementAndGeneralAmt>
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        <EOYAmt>13186</EOYAmt>
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        <EOYAmt>244517467</EOYAmt>
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        <EOYAmt>99170561</EOYAmt>
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        <EOYAmt>9591557</EOYAmt>
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        <EOYAmt>1295732</EOYAmt>
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        <EOYAmt>300290418</EOYAmt>
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        <EOYAmt>622123409</EOYAmt>
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        <EOYAmt>7459008</EOYAmt>
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        <EOYAmt>573609</EOYAmt>
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        <EOYAmt>1285507950</EOYAmt>
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        <EOYAmt>133264274</EOYAmt>
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        <EOYAmt>40366908</EOYAmt>
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        <BOYAmt>11038165</BOYAmt>
        <EOYAmt>12596719</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>251269801</BOYAmt>
        <EOYAmt>238738454</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>904858122</BOYAmt>
        <EOYAmt>1046769496</EOYAmt>
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        <EOYAmt>1046769496</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1156127923</BOYAmt>
        <EOYAmt>1285507950</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>121786806</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>25851499</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-5726931</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <HospitalInd>X</HospitalInd>
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      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>7032</DirectContactLegislatorsAmt>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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        <FormAndLineReferenceDesc>II-B 1g</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO of United Hospital Center, Inc. as part of his duties, monitors legislation that may potentially affect UHC and voices his support or concerns regarding that legislation to legislators either in person, by phone, or by mail.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>II-B 1i</FormAndLineReferenceDesc>
        <ExplanationTxt>This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 39 of the 2024 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2024, 12.60 of the dues paid should be allocated to lobbying expense. United Hospital Center Inc. does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office.</ExplanationTxt>
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        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Malpractice Costs- Current</Desc>
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        <Desc>Self Insurance Liability</Desc>
        <Amt>7162358</Amt>
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      <OtherRevenuesNotIncludedAmt>-1218093</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-1218093</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesIncludedAmt>1218093</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1218093</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>612967964</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>26845669</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>26845669</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, BCHS, PHIC, and HPN are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2024 and 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This line consists of 26,838,347 provision for doubtful accounts - patients which is an offset to revenue on the financial statements and an expense for Form 990 purposes and 7,322 network access fees that are revenue on the financial statements and an expense for Form 990 purposes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expense of 1,218,093 is presented as an offset to Rent Revenue for 990 purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expense of 1,218,093 is presented as an offset to Rent Revenue for 990 purposes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>This consists of 26,838,347 provision for doubtful accounts - patients which is an offset to revenue on the financial statements and an expense for Form 990 purposes and 7,322 network access fees that are revenue on the financial statements and an expense for Form 990 purposes.</ExplanationTxt>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <OwnWebsiteURLTxt>https//wvumedicine.org/united-hospital-center/wp-content/uploads/sites/14/2023/10/Community-Health-N</OwnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>https//wvumedicine.org/bill-pay/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Health Needs Assessment CHNA was prepared by the West Virginia University Health Sciences Center. The CHNA process began with a thorough review of the previous cycles needs assessment report and included a review of publicly available secondary data related to the counties within United Hospital Centers UHC service area. Beginning with these reports, the leadership team started the initial discussion around critical health needs, changes in the community demographics over the previous few years, and lessons learned from the last CHNA cycles health topic prioritization and development of implementation activities. The CHNA involved collecting both primary and secondary data. Primary data was comprised of a survey of community members perceptions of health issues, quality of life, and other related topics. Survey data was analyzed and presented to the hospitals leadership teams at a data presentation that included community stakeholders. This event was focused on reviewing the survey data, discussing community assets that impact population health in the service area, as well as discussing the needs of those not well represented in the survey data. Secondary data included US census data and County Health Ranking Data. The public survey was disseminated via a web-based platform and was intended for residents 18 years of age and older. Collection efforts included reaching local residents via social media and with assistance from the hospitals marketing team. UHC used their electronic medical record messaging platforms to target patients by zip code and increase survey response. Additional information was collected through feedback at the virtual data presentation meeting hosted in October of 2022. This session solicited input about community health needs and sought to identify groups and organizations already providing essential services. Survey results were presented to this group and strategies for improving health outcomes in the top areas were discussed. Attendees of the meeting included representatives from the following organizations UHC hospital leadership, Bridgeport Fire Department, Bowles Rice LLP, Celebrate Recovery, Clarksburg Mission, Harrison County Economic Development Corporation, Harrison County Schools, Harrison-Clarksburg Health Department, Health Access, Healthy Harrison, The Bridge Sports Complex, WVU School of Nursing - Bridgeport Division, WVUHS Home Care, and United Way of Harrison and Doddridge Counties. The CHNA can also be found here https//wvumedicine.org/united-hospital-center/wp-content/uploads/sites/14/2023/10/Community-Health-Needs-Assessment-CHNA-2022.pdf.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Following the data presentation meeting, UHC leadership met to review all input together and identify priority areas to address through implementation strategies. Leadership reviewed closely the top concerns raised across all categories, including health and disease, quality of life, environment, risky behaviors, and personal choice. The top three health and disease concerns were 1 drug and/or alcohol use, 2 obesity, and 3 mental health problems. The top three quality of life and environment concerns are 1 cost of health care and/or medications, 2 lack of health insurance or limited health coverage, and 3 poverty. The top three risky behavior and personal choice concerns were 1 drug use, 2 lack of exercise, and 3 child abuse and neglect.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into hospital leaderships prioritization discussion. Within this discussion of where and how the hospital can realistically affect community wellbeing and health outcomes, what they could accomplish in collaboration with new and existing partners, and what topics to monitor and revisit later, the list of top health concerns was organized into four that will be the focus moving forward with implementation planning. These four concerns are substance use and abuse, mental health, obesity including diabetes and physical activity, and access to care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The top health concerns identified by the stakeholders outlined in the CHNA are being addressed by United Hospital Center in the following ways. For substance abuse, many existing community relationships and potential partners are already in place. United Hospital Center leadership identified youth education as a potential community benefit and is addressing the gap left in the community by the closure of the Harrison County Health Departments Harm Reduction Clinic. With regards to mental health, leadership has identified the project Isaac, crisis centers, stigma reduction initiatives, Highland Hospital partnership, and youth education and outreach in schools. With regards to obesity including diabetes physical activity, UHC identified opportunities to expand programming related to prevention of obesity and chronic disease such as school-based walking program, Dare to C.A.R.E program, dining with diabetes, 5-2-1-0 way to go program, and healthy eating. Several of these programs were cancelled due to COVID-19 so UHC will explore these programs for this new CHNA cycle. Lastly, UHC identified the following strategies to improve access to care information about healthcare cost up front, community education regarding the No Surprises Act, patient navigators to assist with health literacy, and improved community transportation.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>All patient provided services at UHC are charged the same amount for the same service received. Consideration for establishing new charges is based on the CMS Medicare CPT payment weights. The charge master at UHC as in all WV hospitals is approved on an annual basis by the WV Health Care Authority per legislative mandate. UHC will provide financial assistance/charity care at 100 percent of billed charges to those patients where the household income defined as income for all individuals existing in the same dwelling is at 200 percent or below the federal poverty guidelines as published annually by the Community Services Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income as defined in the Charity Care Policy. Elective procedures or cosmetic/plastic procedures may not be eligible to be covered under the financial assistance/charity care program. Financial assistance/charity care is predicated upon the completion of the Patient Financial Status Statement as well as the patient seeking Medicaid eligibility. An individuals failure to comply with UHCs documentation and/or soliciting Medicaid process shall be excluded from consideration. An associate from the Business Office is available to assist patients in this process and will analyze the Patient Financial Status Statement according to UHCs guidelines in the Financial Assistance/Charity Care Policy.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 20e</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance signs are posted in all admission areas as well as the ER and Family Medicine. In addition, registration gives all self-pay patients a charity application when admitted there is a Notice of Availability of Financial Assistance on the statements that are mailed to the patients. Collectors and patient representatives let the patients know about financial assistance available when calling. In addition, UHC utilizes a third party that attempts to meet with uninsured patients to determine whether such patient qualifies for Medicaid and/or other forms of assistance under federal, state, or local programs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group United Hospital Center Line Part V, Section B, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC does maintain a formal Financial Assistance/Charity Care policy. Charity care is provided to those patients where the household income defined as income for the patient and any related guarantor as listed on the most recent Federal Tax Return is at 200 or below federal poverty guidelines as published annually by the Community Service Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income. Charity is predicated on the patient seeking Medicaid eligibility and fully cooperating with hospital staff provide bank statements, proof of income, etc. Medicaid eligibility may be reevaluated each month or in connection with new services provided during the approved charity period 6 months. If a patient qualifies for charity care assistance, 100 of the billable charges are eliminated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC will provide an amounts generally billed AGB discount to true selfpay patient balances due, regardless of income levels. Accounts will be reviewed to verify no other insurance/third party is responsible for balance due. The AGB is not applicable to Workers Compensation, Motor Vehicle Accidents, cosmetic or cardiac rehab phase III balances.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients requesting a discount on balances due can receive a 20 discount for payment in full. The discount can be applied on any balance, including balances after the AGB discount has been applied.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web address https//wvumedicine.org/about/community-benefit/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Net community benefit expense for 2024 is 54,399,713 and is 8.87 of total net expenses. To calculate net expense, allowance for doubtful accounts - patients of 26,838,347 was deducted from total expenses of 639,813,633 as shown in Part IX line 25 of the core Form 990, for a net expense of 612,975,286.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>United Hospital Center supports Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,926 patients supported by Health Access. Family medicine physicians volunteer their services after hours to the Health Access clinic to improve access to health care services for Harrison county citizens who can not afford to have health insurance coverage.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient receivables are reported at net realizable value. Accounts are written off when they are determined to be noncollectable based upon managements assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payer classifications, and application of historical write-off percentages. The estimated cost of services provided that ultimately result in bad debt expense are estimated utilizing the cost-to-charge ratio as determined by the filed cost report for the corresponding tax year related to this Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense at cost was calculated by multiplying allowance for doubtful accounts - patients expense of 26,838,347 by our cost-to-charge ratio of 29.51 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 7,919,996.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,746,341 which we then multiplied by our cost to charge ratio of 29.51 for a total of 515,345.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated bad debt attributable to patients eligible for charity care of 515,345 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>In our charity care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The mix of accounts receivable at December 31, 2024 and 2023, from patients and third-party payors is as follows For the year-end December 31, 2024 Medicare - 22, Medicaid - 11, Blue Cross - 24, Commercial, managed care and other - 40, Patients - 3, totaling 100. For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. United Hospital Centers shortfall of 86,062,292 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC does maintain a formal Credit Collections policy. The policy reiterates that care will be provided to all patients that present to UHC regardless of their ability to pay for such services. The policy describes payment discounts that may be available as well as description of other financial assistance programs at UHC e.g. Charity Care and the option of payment plans. The policy does describe collection practices and procedures that may be followed by the UHC staff should a patient not cooperate in the account resolution process. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>United Hospital Center considers several components in assessing how the organization determines the need of the communities it serves. Through outside consults to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area for United Hospital Center includes Harrison and Doddridge County, WV. This data is then analyzed to provide general estimates to where United Hospital Center could better care for residents in these counties.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Population and demographic data is provided by WVU Medicines population health and enterprise analytics department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC maintains a formal Financial Assistance Policy. Identification of financial assistance is provided through Financial Counseling, Registration, Patient Accounts Representative, Credit Counselors and/or other Associates in the Patient Accounts Department. This policy is also available for review at https//wvumedicine.org/bill-pay/financial-assistance/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The UHC CHNA leadership team defined the hospitals primary service area as Harrison and Doddridge Counties West Virginia. In 2023, Harrison County had a population of 64,639, a median household income of 56,184, an employment rate of 57.1 and 7.7 of residents reported not having healthcare coverage. Approximately 15.0 of Harrison County residents also lived in poverty in 2023. Doddridge County had a 2023 population of 7,680, a median household income of 56,587, an employment rate of 45.4 and 7.7 of residents reported not having healthcare coverage. Approximately 20.2 of Doddridge County residents lived in poverty in 2023. Population and demographic information was obtained from the United State Census Bureau https//data.census.gov/cedsci/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>UHC supports Health Access, a free health care clinic that it helped organize. The clinic serves indigent members of the community. In 2023, UHC provided free health care worth more than 4 million to the clinic and its patients. Many hospital associates and medical staff, including residents, volunteer their time at the clinic. In addition, UHC conducts diabetes support groups and education for adults and youth. UHC staff interacts with several community organizations by donating time to serve as educators and community or board members. Family medicine residents teach sex education classes for area schools as well as perform physical exams for student athletes. Family medicine residents also conduct weekly obstetric clinics at the Harrison and Doddridge County Health Departments. UHC also provides administrative facilities for American Cancer Society and provides classrooms for groups such as American Red Cross to hold blood drives. See Part III of Form 990 for further description of community building programs that UHC participates in, funds, and/or supports.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>UHCs board of directors is a community board, comprised of 15 members living in the UHC primary service area. Our medical staff is an open medical staff comprised of private groups and physicians. As physician recruiting has become more difficult in rural areas, UHC has also been forced to employ a number of physician specialists as well as partner with the West Virginia University School of Medicine and its faculty plan to provide other necessary physician services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>United Hospital Center UHC is a part of the West Virginia United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association in South Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, and Princeton Community Hospital Foundation, Inc. in Princeton, WV which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Madden</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>577481</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>489767</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1242</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15525</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37383</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1121398</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Forester</PersonNm>
        <TitleTxt>VP - Provider Network Services, UPC Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>109320</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>194347</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22304</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>39651</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2719</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4834</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21778</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38716</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13228</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23516</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>301064</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Hess</PersonNm>
        <TitleTxt>President / CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>576653</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>234184</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14868</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>117800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37534</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>981039</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kendra Westfall</PersonNm>
        <TitleTxt>Vice President of Human Resources</TitleTxt>
        <BaseCompensationFilingOrgAmt>156341</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>36673</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29174</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>6843</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3352</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>786</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20957</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4916</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17519</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4109</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>227343</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>53327</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>There are some officers and key employees of the hospital that are eligible for annual bonus compensation if they meet goals and achievements that are set at the beginning of each year and are approved by the board of directors. The annual incentive bonuses are only paid after achievements are assessed and only if the hospital achieves at least 80 of its budgeted operating margin. If the hospital has a negative operating margin, that annual incentive bonus will not be awarded.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>James Rutkowski received CAA distributions of 31,257 Geoffrey Marshall received CAA distributions of 25,885 Jeff Bolyard received CAA distributions of 36,533 from related party John Fernandez received CAA distributions of 25,989 Eric Radcliffe received CAA distributions of 40,144 and Linda Carte received CAA distributions of 6,508 from related party. These amounts were appropriately reported as compensation on Form W-2 for 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received deferred compensation contributions in 2024 Geoffrey Marshall in the amount of 1,615 Mark Povroznik in the amount of 29,782 Stephanie Smart in the amount of 28,211 Kendra Westfall in the amount of 15,970 from filing organization and 3,746 from related party John Forester in the amount of 16,752 from the filing organization and 29,782 from related party and David Hess in the amount of 102,275. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Linda Carte received severance pay in the amount of 263,782 from related party in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger UHC received 149,749,999 in proceeds to refund the 2006A issuance as a current refunding and 2009C bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for West Virginia University Hospitals, Inc. WVUH and Camden-Clark Memorial Hospital Corporation CCMC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Column A - Rebate calculation was prepared for the period June 15, 2016 to June 15, 2021, per the report and underlying assumptions, no IRS payment or filing is otherwise currently required. The next rebate calculation is due June 15, 2026. Column B - A rebate calculation was prepared for the issuance date through July 31, 2023. The report indicates that no rebate is due. The next computation date is July 31, 2028.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 5c</FormAndLineReferenceDesc>
        <ExplanationTxt>Column A - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4, 5, and 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The current outstanding tax exempt bond issuances were used to refund tax exempt bonds that were used to construct and complete a new hospital facility. The private business use percentages are taken as a whole of those bond funded facilties and applied to both outstanding bonds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 19,600,475, Grants and allocations 0, Revenue 33,026,084 UHCs Emergency Center is one of the busiest emergency departments in West Virginia, treating nearly 50,000 patients annually. The centers experienced staff of emergency medicine trained physicians and nurses works to ensure that patients receive lifesaving medical care quickly and effectively. UHC had 45,591 emergency department visits in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 276,189,352, Grants and allocations 5,500, Revenue 352,722,049 UHC provides health care services for the community and surrounding areas. The majority of the program services are to provide health care and health care maintenance for the community as both inpatient and outpatient services. United Hospital Center provided 40,003,510 in uncompensated care, which represented 6 of the total net patient service revenue in 2024. Included in the above amount was 13,165,163 of charity care for individuals that qualified for financial assistance and 26,838,347 in bad debt account balance write-offs. UHC wrote off 1,596 accounts to charity and 7,307 bad debt related to patients that had Medicare coverage. United Hospital Center provided 4,111,931 in support to Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,926 patients supported by Health Access.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 448,351, Grants and allocations 0, Revenue 90,000 To address other health manpower shortages, UHCs School of Radiological Technology and the UHC Diagnostic Medical Sonography Program graduated 12 radiology technologists and 1 sonography student this year. The cost of this program was 448,351 with a tuition revenue of 90,000. We continue to have relationships with the VAMC and St. Josephs Hospital for rad tech education. In addition, UHC serves as a clinical training site for nursing students from West Virginia Wesleyan College, Fairmont State University, Alderson Broaddus College, United Technical Center, Monongalia Technical Center, West Virginia University, Wheeling Jesuit University, Edinboro University and Fred Eberle School of Practical Nursing. UHC Diagnostic Medical Sonography Program incorporates clinical and didactic experiences to prepare individuals for professional practice in general abdominal, obstetric/gynecologic and vascular sonography. The National Education Curriculum and Specialty Curricula endorsed by the Joint Review Committee on Education in Diagnostic Medical Sonography JRC-DMS is adopted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center is one of the largest providers of obstetric services in terms of deliveries and serves as a regional resource for obstetric services. In fulfilling that role, family medicine faculty and residents conduct weekly planning clinics and pediatric clinics for the Harrison County Health Department. The obstetric department conducts childbirth classes for expecting parents. These classes are for expectant mothers and teaches techniques for the best possible experience in childbirth. Enrollment for these classes totaled 41 people and provided a benefit of 230. The obstetric department also conducts sibling tours for older siblings to alleviate anxiety for when the new baby arrives.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Centers associates volunteered 100 hours to participate in health fairs/events for the community citizens at various locations throughout North Central West Virginia that had approximately 120 attendees and yielded a total community benefit of 9,777. United Hospital Center also conducted cancer screenings through their mens and womens campaigns. Screenings at these events included but was not limited to visual assessments, PAP smears, FIT tests, mammograms, PSA lab draws, prostate exams, recommendations for abnormal findings and general health education. UHC resident physicians and support staff volunteered 6 hours during these screenings, which served 23 individuals and provided a total community benefit of 9,361. UHC physicians also served 29 individuals while attending clinics, providing a total community benefit of 5,540. UHC provided sports physicals at Salem University four times and served 400 individuals to provide a total community benefit of 2,016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC provides administrative facilities to the American Cancer Society. In addition, UHC allows some organizations the use of classrooms with no charge. The organizations include, but are not limited to, WV Autism Support Group, Addiction Support Group, Breast Cancer Support Group, Kids Talk Support Group, and Narcotics Anonymous. United Hospital Center also provides a space for Vitalant to conduct blood drives. UHC hosted 6 blood drives. In total, these blood drives had 134 presenting donors, 131 successful donations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center conducted, through the Education Department, a diabetes support group for participants from various counties. In addition, staff assisted the indigent patients in the Lilly Cares program for starter insulin and also received viscometers from Bayer Co. to distribute and properly educate patients in the daily monitoring of their blood glucose. United Hospital Center has representatives serving on several community boards including, but not limited to, Family Services of Harrison and Marion Counties, Harrison County Drop-In Advisory Board, WV Network Ethic Advisory Committee, Coalition for the Homeless and Goodwill Advisory Board. In addition, UHC representatives were guest speakers at area organizations/events about various health care concerns or issues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC offers rotations for students in the following programs Emergency Medical Personnel, Medical Record Technology, Pharmacy, Safety Engineering, and Clinical Education for Rehab students. Rotations for one of the three practicums and internships for counseling students in a masters degree program are provided as needed in cooperation with West Virginia University.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is completed by the West Virginia United Health System tax team and then sent to the Vice President of Finance at United Hospital Center, Inc. for approval. Baker Tilly, an external accounting firm, is then provided a copy for review. Then, the annual Form 990 is presented to the hospitals finance committee of the board of directors for review, prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, education is provided to all officers of the board of directors with respect to their fiduciary responsibility and what may or may not be considered a conflict of interest. This education is provided by the hospitals in house general counsel. All officers and board members are required to complete an annual conflict of interest and disclosure statement. The statements are maintained by the hospitals in house general counsel and specifically reviewed as necessary based on business presented to the board. If a conflict arises, recommendations are provided to the President and/or Board for consideration and determination of final action. Nothing of concern was found during the review in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15 a b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2023 for 2024 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All governing documents, conflicts of interest policy, and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation reported for Linda Carte as a Former officer is related to a new role within the System. On 2020 and prior years 990s she served as the Vice President, Cancer Center Post-Acute Care for UHC. Starting on January 1, 2021 through 2024 she transitioned roles to VP of WVUHS Home Care which is a related party to UHC. IRS 990 reporting requires that individuals reported as officer, director, trustee, or key employee on any one or more of the 5 prior years in one or more of the following capacities and the individual received reportable compensation, from the organization and/or related organizations, in the calendar year in excess of the threshold amount be reported as former.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets include 4,914,204 of related organization capitalization, 41,995 donated capital, 854,724 JOA Contribution to SOM, and 2 rounding.</ExplanationTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>United Physicians Care Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>686 South Pike Street</AddressLine1Txt>
          <CityNm>Shinnston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26431</ZIPCd>
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          <BusinessNameLine1Txt>United Hospital Center Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <AddressLine1Txt>327 Medical Park Drive</AddressLine1Txt>
          <CityNm>Bridgeport</CityNm>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>6 Hospital Plaza</AddressLine1Txt>
          <CityNm>Clarksburg</CityNm>
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          <BusinessNameLine1Txt>West Virginia University Hospitals Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 Garfield Avenue</AddressLine1Txt>
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          <ZIPCd>26101</ZIPCd>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
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          <BusinessNameLine1Txt>Camden Clark Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Camden-Clark Physician Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1601 Garfield Avenue</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Camden Clark Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 8034</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
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        <EIN>550643304</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>West Virginia University Hospitals East Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>121 Administrative Drive</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>City Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2500 Hospital Drive</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Jefferson Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 S Preston St</AddressLine1Txt>
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          <CityNm>Uniontown</CityNm>
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          <BusinessNameLine1Txt>Fayette Physician Network Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 West Berkeley Street</AddressLine1Txt>
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          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
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          <BusinessNameLine1Txt>Harrison Community Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>951 E Market Street</AddressLine1Txt>
          <CityNm>Cadiz</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Barnesville Hospital Association Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>639 W Main Street</AddressLine1Txt>
          <CityNm>Barnesville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43713</ZIPCd>
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        <EIN>340719172</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Belmont Community Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4697 Harrison Street</AddressLine1Txt>
          <CityNm>Bellaire</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43906</ZIPCd>
        </USAddress>
        <EIN>340714643</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Medical Park Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550744690</EIN>
        <PrimaryActivitiesTxt>Church</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Wheeling Hospital Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Self Insurance Trust Agreement of Wheeling Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Medical Park</AddressLine1Txt>
          <CityNm>Wheeling</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <EIN>550676674</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRMC Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>251 North Fourth Street</AddressLine1Txt>
          <CityNm>Oakland</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21550</ZIPCd>
        </USAddress>
        <EIN>871846814</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Grant Memorial Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>117 Hospital Drive</AddressLine1Txt>
          <CityNm>Petersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26847</ZIPCd>
        </USAddress>
        <EIN>881740605</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Herbert J Thomas Memorial Hospital Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4605 MacCorkle Ave SW</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25309</ZIPCd>
        </USAddress>
        <EIN>550404900</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Association Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>122 Twelfth Street</AddressLine1Txt>
          <CityNm>Princeton</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>24740</ZIPCd>
        </USAddress>
        <EIN>550483245</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 1369</AddressLine1Txt>
          <CityNm>Princeton</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>24740</ZIPCd>
        </USAddress>
        <EIN>550694209</EIN>
        <PrimaryActivitiesTxt>Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 A Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Princeton Community Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THS Physician Partners Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4605 MacCorkle Ave SW</AddressLine1Txt>
          <CityNm>South Charleston</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25309</ZIPCd>
        </USAddress>
        <EIN>454395947</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Herbert J Thomas Memorial Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Welch Medical Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1085 Van Voorhis Road Suite 500</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26505</ZIPCd>
        </USAddress>
        <EIN>921990757</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WV United Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Ohio Valley Health Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>222 Nicolette Rd</AddressLine1Txt>
          <CityNm>Parkersburg</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26104</ZIPCd>
        </USAddress>
        <EIN>922553803</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Camden-Clark Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Allied Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 782</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26507</ZIPCd>
        </USAddress>
        <EIN>550652017</EIN>
        <PrimaryActivitiesTxt>Linen Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>United Health Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>225645</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>